Schemas
ValidateResponse
claim_id
string
Unique Identifier
validation
object[]
validation.diagnosis
object
validation.diagnosis.code
string
ICD-10-CM code, can be passed with or without the decimal A40.9 or A409 are both acceptable.
validation.diagnosis.present_on_admission
enum<string>
Y = Yes, N = No, U = Unknown, W = Clinically Undetermined, 1 = Exempt from POA reporting
Available options:
Y
, N
, U
, W
, 1
validation.determination
object
validation.determination.result
enum<string>
Available options:
Supported
, Unsupported
, NoDetermination
validation.determination.confidence
number
validation.determination.reasoning
string
Reasoning for determiniation
validation.determination.evidence
object[]
validation.determination.evidence.criteria
string
Clinical criteria assessed against
validation.determination.evidence.source
object
validation.determination.evidence.source.start_index
integer
Start index of text as function of the medical record input text
validation.determination.evidence.source.end_index
integer
End index of text as function of the medical record input text
validation.determination.evidence.source.text
string
validation.determination.evidence.evaluation
enum<string>
Evaluation of the clinical critera due to the source
Available options:
Supports
, Rejects
, Other